Long Island Neuropsychology, P.c. is a Counselor Clinic in Lake Ronkonkoma, New York. It is located at 290 Hawkins Ave, Suite B, Lake Ronkonkoma, NY and its contact number is 631-334-7884. The authorized person for Long Island Neuropsychology, P.c. is Dr. Shane S. Bush
who is President of the clinic and his/her contact number is 631-334-7884. The primary license number for Long Island Neuropsychology, P.c. is 012998 (Rehabilitation) in New York. Long Island Neuropsychology, P.c. Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Long Island Neuropsychology, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Long Island Neuropsychology, P.c.
Specialization:
Clinical Neuropsychologist
Clinic Address:
290 Hawkins Ave, Suite B, Lake Ronkonkoma, New York, 11779-9600
Phone:
631-334-7884
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Shane S. Bush
Position:
President
Contact Number:
631-334-7884
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Long Island Neuropsychology, P.c. clinic are as mentioned below.
NPI Number:
1356467419
NPI Enumeration Date:
21 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Long Island Neuropsychology, P.c. are as mentioned below.
Specialization
License Number
State
Status
Rehabilitation
012998
New York
Primary
Clinical Neuropsychologist
012998
New York
Secondary
Psychologist
012998
New York
Secondary
Clinical
012998
New York
Secondary
Forensic
012998
New York
Secondary
Rehabilitation
012998
New York
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Long Island Neuropsychology, P.c. 290 Hawkins Ave, Suite B Lake Ronkonkoma, New York
Zip:
11779-9600
Phone Number:
631-334-7884
Patients can reach Long Island Neuropsychology, P.c. at 290 Hawkins Ave, Suite B, Lake Ronkonkoma, New York or can call to book an appointment on 631-334-7884. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.